| NPI | 1316755267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 11778) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK CPT032034T) |
| Enumeration Date | 2024-12-24 |
| Last Update Date | 2024-12-24 |