| NPI | 1013295492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 4485) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 4485) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2022-09-08 |