| NPI | 1366819989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC CP034993T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 61481676) |
| 225100000X Physical Therapist (Licence: MD 25505) | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2025-04-04 |