| NPI | 1659164986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH12312) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 6837) |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2026-01-09 |