| NPI | 1770203705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC CP034861T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH CP018677T) |
| 225100000X Physical Therapist (Licence: WA PT61268007) | |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2025-09-18 |