| NPI | 1942793625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60920603) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT293117) |
| 225100000X Physical Therapist (Licence: NJ 40QA01518100) | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2020-07-03 |