| NPI | 1821048299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC SC4459) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC PT4459) |
| 225100000X Physical Therapist (Licence: WA PT60605610) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2025-08-15 |