| NPI | 1619940558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 9822) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK PT 2718) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2013-01-11 |