| NPI | 1790079572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 61367) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032192) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2024-04-23 |