| NPI | 1396260386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62286) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60771908) |
| 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-17080) | |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2022-12-08 |