| NPI | 1033313697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 5894) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 5536) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2014-03-21 |