| NPI | 1912981572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 63340) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60685784) |
| 225100000X Physical Therapist (Licence: AR 2606) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2020-10-21 |