| NPI | 1851782668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61068305) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038008) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2025-09-30 |