| NPI | 1275682676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA159848) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 8448) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-09-19 |