| NPI | 1215143102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 33445) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010456) |
| 225100000X Physical Therapist (Licence: SC 4164) | |
| 225100000X Physical Therapist (Licence: NC 8312) | |
| 225100000X Physical Therapist (Licence: WY 1163) | |
| 225100000X Physical Therapist (Licence: CO 9357) | |
| 225100000X Physical Therapist (Licence: OR 5295) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2025-09-11 |