| NPI | 1861006108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY PT-1994) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WY WY-1994) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2023-08-04 |