| NPI | 1497842231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 6261) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: TX 1288870) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-01-03 |