| NPI | 1396495578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OK 5872) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1359119) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2023-09-12 |