| NPI | 1992296909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62771) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 62771) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |