| NPI | 1801467568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 65021) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-7304) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2025-11-11 |