| NPI | 1588096358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 61771) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT 60557268) |
| 225100000X Physical Therapist (Licence: OK 4718) | |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2021-12-27 |