| NPI | 1861074965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 64011) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61231014) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2025-07-30 |