| NPI | 1114916947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT1223) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 01245) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2013-08-05 |