| NPI | 1689718827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 64017) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 021537) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2021-07-16 |