| NPI | 1093725780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT8725) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00005717) |
| 225100000X Physical Therapist (Licence: OR 2363) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2025-07-08 |