| NPI | 1457516353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60597453) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34143) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2026-09-28 |