| NPI | 1851911838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 6082) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P16727) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2024-03-28 |