| NPI | 1538785092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 5652) |
| Enumeration Date | 2020-06-21 |
| Last Update Date | 2026-06-10 |