| NPI | 1578986964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4782) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT.014497) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |