| NPI | 1659094332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61679920) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 29161) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2025-04-28 |