| NPI | 1811925340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 61548) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 22718) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2024-09-20 |