| NPI | 1225887342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P161539820) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA P161539850) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2025-07-24 |