| NPI | 1346591799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4308) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 3268) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2022-05-25 |