| NPI | 1134182603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06688) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 61613) |
| 225100000X Physical Therapist (Licence: WA PT00007436) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2021-06-10 |