| NPI | 1881141661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 61880) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60651347) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2022-02-19 |