| NPI | 1003876889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: OK 2036) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 2036) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2019-08-09 |