| NPI | 1811482292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1287559) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 5352) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2021-12-28 |