| NPI | 1922219443 |
|---|---|
| Former Name | KARLENE ERNEST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4701) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 2549) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NE 389) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2013-05-23 |