| NPI | 1841307998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60328988) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1135309) |
| 225100000X Physical Therapist (Licence: CA 39361) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2024-05-31 |