| NPI | 1417274275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 964) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OK 964) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2024-01-31 |