| NPI | 1730581042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: OK 4894) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: OK 4994) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2022-08-29 |