| NPI | 1023398039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4426) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1209781) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |