| NPI | 1265836514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62202) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 3981) |
| 225100000X Physical Therapist (Licence: WA PT60929022) | |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2026-05-13 |