| NPI | 1487213195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR CP044998T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP044998) |
| 225100000X Physical Therapist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2025-06-20 |