| NPI | 1003112038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04214) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 116072) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |