| NPI | 1841810868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62718) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1306000) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |