| NPI | 1831694017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60814724) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0013717) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-07-13 |