| NPI | 1598274383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62644) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT026233) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2018-04-20 |