| NPI | 1386486686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA CP043373T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP032007T) |
| 225100000X Physical Therapist (Licence: OH PT021108) | |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2025-04-23 |