| NPI | 1982463758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61566450) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 65195) |
| 225100000X Physical Therapist (Licence: MN 13247) | |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-11-01 |