| NPI | 1093845711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 06622) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 06806) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2012-09-11 |