| NPI | 1154346195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-33076) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA pt00008539) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2025-10-30 |