| NPI | 1649101338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA CP057952T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 022841) |
| Enumeration Date | 2026-05-29 |
| Last Update Date | 2026-06-01 |