| NPI | 1225460199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 64798) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10297) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2023-02-16 |