| NPI | 1275315301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 121571) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK CP025213T) |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2024-09-05 |