| NPI | 1235731506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-33004) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 5894) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2025-01-30 |