| NPI | 1780972646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4646) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 2589) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2023-03-01 |