| NPI | 1366638199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4247) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 10034) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2020-05-14 |