| NPI | 1336617562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 5736) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040.0134047) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2020-03-10 |