| NPI | 1932984044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 6376) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP024758T) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |