| NPI | 1336563915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 06451) |
| Additional Taxonomies | 2251H1300X Physical Therapist, Human Factors (Licence: OR 06451) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: OR 06451) | |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |