| NPI | 1780275271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 64910) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27996) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2025-09-25 |