| NPI | 1043258080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 2199) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: OR 1021100023) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2019-04-25 |