| NPI | 1033634654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4162) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 4162) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2019-07-03 |