| NPI | 1033634290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 5609) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1295580) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2023-03-11 |