| NPI | 1801370168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT027292) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT70038767) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2025-09-11 |