| NPI | 1639636095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OK 5593) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2024-10-22 |