| NPI | 1396142543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62454) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208567) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2023-09-11 |