| NPI | 1467534412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62657) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: WA PT60839924) |
| 225100000X Physical Therapist (Licence: AZ 7438) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 7438) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2026-05-28 |