| NPI | 1831904192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine (Licence: OK 2960) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OK 2960) |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |