| NPI | 1336158898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4647) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 2962) |
| 225100000X Physical Therapist (Licence: TX 1129815) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2024-01-02 |