| NPI | 1891101069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK CP052348T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 17576-24) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2026-02-03 |