| NPI | 1952515769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 3109) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK PT3109) |
| 225100000X Physical Therapist (Licence: TX 1138964) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2011-01-04 |