| NPI | 1295131761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41575) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 15795) |
| 225100000X Physical Therapist (Licence: OR 63216) | |
| 225100000X Physical Therapist (Licence: WA 60887371) | |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2023-02-23 |