| NPI | 1316265804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 41824) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60571720) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2026-06-15 |