| NPI | 1497102370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR CP053499T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 221343) |
| 225100000X Physical Therapist (Licence: AR 4726) | |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2026-02-26 |