| NPI | 1700300936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 5580) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT6157) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2019-09-25 |