| NPI | 1023142973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2011009759) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.013932) |
| 225100000X Physical Therapist (Licence: KS 11-04232) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2014-05-15 |