| NPI | 1760002661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: OR 63904) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2022-10-24 |