| NPI | 1659743458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 65267) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3831) |
| 225100000X Physical Therapist (Licence: CA 43048) | |
| 225100000X Physical Therapist (Licence: WA 60539796) | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2025-01-18 |