| NPI | 1558778233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 65196) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60455582) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2025-10-27 |