| NPI | 1306518725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60905066) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 11782) |
| 225100000X Physical Therapist (Licence: OR 62894) | |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-10-04 |