| NPI | 1447423454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 60699) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 2108) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2014-11-11 |