| NPI | 1952750150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0014037) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT 60667868) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2024-05-01 |