| NPI | 1609803568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT2193) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 2900) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-09-06 |