| NPI | 1689720914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 28586) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 1117) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2014-09-07 |