| NPI | 1134690530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4801) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 61050552) |
| 225100000X Physical Therapist (Licence: OR 63035) | |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2022-05-06 |