NPI | 1063019263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 63837) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 61100607) |
Enumeration Date | 2020-10-01 |
Last Update Date | 2025-05-07 |