| NPI | 1043684194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC p17615) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 5068) |
| 225100000X Physical Therapist (Licence: OR 61190) | |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2020-01-10 |