| NPI | 1376288357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1345600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 114873) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2022-10-04 |