| NPI | 1992126742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251H1300X Physical Therapist, Human Factors (Licence: OR 06451) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: OR 06451) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |