| NPI | 1063010478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 6153) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12430) |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2025-04-20 |