| NPI | 1144779943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 61955) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA CP035076T) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2025-09-17 |