| NPI | 1568064632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 61662801) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1335204) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2025-04-24 |