| NPI | 1215188123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 3885) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 3035) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |