| NPI | 1689989881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 6331) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 06331) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2024-05-07 |