| NPI | 1912116831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 4335) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 3962) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-03-17 |