| NPI | 1992417992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61407826) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 303278) |
| 225100000X Physical Therapist (Licence: OR 64759) | |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2023-10-31 |