| NPI | 1033783915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 205981) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61209761) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2026-05-04 |