| NPI | 1720390438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 6065) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 61170952) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2024-07-29 |