| NPI | 1508435272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 6645) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2021021357) |
| 225100000X Physical Therapist (Licence: KS 11-06731) | |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2025-07-21 |