| NPI | 1528635810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 6445) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1345896) |
| 225100000X Physical Therapist (Licence: AR PT4953) | |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2023-10-24 |