| NPI | 1881325637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019823) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA pu61318168) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2024-05-29 |