| NPI | 1871994640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 61607) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037967) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2024-07-23 |