| NPI | 1982193983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 305723) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 4785) |
| 225100000X Physical Therapist (Licence: WA PT61378599) | |
| 225100000X Physical Therapist (Licence: OR 62622) | |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2024-04-04 |