| NPI | 1831666957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62891) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR T62891) |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2024-05-05 |