| NPI | 1386830750 |
|---|---|
| Former Name | JILL MARIE EKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206163) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41920) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2024-10-07 |