| NPI | 1194335208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 5842) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT028600) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2021-12-22 |