| NPI | 1922183110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 4314) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00009527) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2025-11-05 |