| NPI | 1427888577 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 65375) | 
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: OR 65375) | 
| 2251N0400X Physical Therapist, Neurology (Licence: OR 65375) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: OR 65375) | |
| 2251S0007X Physical Therapist, Sports (Licence: OR 65375) | |
| Enumeration Date | 2024-08-05 | 
| Last Update Date | 2024-08-05 |