| NPI | 1285167650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 63139) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208081) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2023-03-30 |