| NPI | 1043598881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 06620) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: OR 6620) | |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2026-02-18 |