| NPI | 1063693521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 2198) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 2198) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2024-09-17 |