| NPI | 1770862070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 06556) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 6556) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2024-12-12 |