| NPI | 1053463844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04894) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 3849) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2016-08-22 |