| NPI | 1760862577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK CP021773T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3127) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2024-03-19 |