| NPI | 1992100168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0015057) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT 60630048) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA 41593) | |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2020-04-15 |