| NPI | 1699144105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 17293) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60550436) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2025-02-18 |