| NPI | 1073862074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG215529) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 6987) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2023-05-16 |