| NPI | 1154615599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4306) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035598) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2016-11-29 |