| NPI | 1598132748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 5031) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7899) |
| 225100000X Physical Therapist (Licence: NC 15880) | |
| 225100000X Physical Therapist (Licence: NY 040055) | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2016-05-05 |