| NPI | 1558607788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 2610) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1137974) |
| Enumeration Date | 2012-12-16 |
| Last Update Date | 2016-11-22 |