| NPI | 1295162659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60794381) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036897) |
| 225100000X Physical Therapist (Licence: PA PT023168) | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2026-06-13 |