| NPI | 1386334209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61443213) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 050210) |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2025-09-18 |