| NPI | 1932765104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 6166) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-06293) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2025-06-10 |