| NPI | 1760215073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK CP033405T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 5541) |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-09-04 |