| NPI | 1295186773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61596483) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1281322) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2025-04-08 |