| NPI | 1154509255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 5508) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60174687) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2022-02-08 |