| NPI | 1457647364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR CP058750T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 7321636-2401) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2026-06-22 |