| NPI | 1811669120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 64251) |
| 225100000X Physical Therapist (Licence: WA PT61476545) | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2025-12-18 |