| NPI | 1841714037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62950) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23021) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2025-01-17 |