| NPI | 1700452489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 5987) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO CP015544T) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2026-02-18 |