| NPI | 1336670702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18103) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 5275) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2023-02-24 |