| NPI | 1942602727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209068) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60948531) |
| 225100000X Physical Therapist (Licence: CA PT300087) | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2023-09-12 |