| NPI | 1821515529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 297755) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60825461) |
| 225100000X Physical Therapist (Licence: OR 62434) | |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2024-08-22 |