| NPI | 1982258471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 64569) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60975508) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2023-07-27 |