| NPI | 1427387380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 3255) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 26087) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2022-04-06 |