| NPI | 1821573288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62952) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA CP017248T) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2024-09-15 |