| NPI | 1023446705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 15008) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 4754) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2014-09-16 |