| NPI | 1003215351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT 1369) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 2566) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2022-03-26 |