| NPI | 1962477802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 002893) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 1715) |
| 225100000X Physical Therapist (Licence: TN 0000002608) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2008-02-15 |