| NPI | 1700961851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 63611) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 1607) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2023-05-22 |