| NPI | 1871987677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 5243) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1237257) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2025-09-24 |