| NPI | 1285712984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 15126) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00007822) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-03-06 |