| NPI | 1558465641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 2729) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: OR 2729) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2025-06-26 |