| NPI | 1881902443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3851) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 4314) |
| 225100000X Physical Therapist (Licence: CO 10925) | |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2020-01-29 |