| NPI | 1538435102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 2133) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: OR 2133) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: OR 2133) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2013-04-05 |