| NPI | 1861787095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 2595) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 11234) |
| 225100000X Physical Therapist (Licence: WA 60319755) | |
| 225100000X Physical Therapist (Licence: OR 60043) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2024-02-14 |