| NPI | 1891268280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 5572) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27299) |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2025-05-28 |