| NPI | 1326697707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 64688) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 24377) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2023-11-19 |