| NPI | 1295610814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251C2600X (Licence: WI CP046546t) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60847550) |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-08-11 |