| NPI | 1992227771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61541164) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0014752) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2024-04-15 |