| NPI | 1528171568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4267) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WY WY1162) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-04-07 |