| NPI | 1285470518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 65321) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61566000) |
| Enumeration Date | 2024-07-05 |
| Last Update Date | 2025-08-28 |