| NPI | 1407531841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 308608) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: WA PT61658911) | |
| 225100000X Physical Therapist (Licence: AL CP035592T) | |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2025-09-16 |