| NPI | 1477373892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP048246T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61615617) |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2025-08-19 |