| NPI | 1679104780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 6591) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OK 2987) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2025-08-07 |