| NPI | 1558459867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 65526) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1042) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2025-06-18 |