| NPI | 1033128319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03423) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 3887) |
| 225100000X Physical Therapist (Licence: MO 2004029284) | |
| 225100000X Physical Therapist (Licence: NE 2420) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-09-15 |