| NPI | 1164975439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 65043) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 31800) |
| 225100000X Physical Therapist (Licence: WA 60837923) | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2025-01-16 |