| NPI | 1366255929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61596064) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 65568) |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2026-01-15 |