| NPI | 1376551374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 3785) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC00710) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2025-09-11 |