| NPI | 1306297759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2016023458) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 5102) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-07-07 |