| NPI | 1861478182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 04188) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 4188) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2023-01-09 |