| NPI | 1396108775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4402) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: OR 4402) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2019-05-01 |