| NPI | 1053865899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019907) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT025327) |
| 225100000X Physical Therapist (Licence: OK 5697) | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2026-02-09 |