| NPI | 1033294632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1104385) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: AK 1765) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-06-27 |