| NPI | 1366612137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 3530) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 728) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2011-01-23 |