| NPI | 1073613329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2008007265) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-02544) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2010-11-05 |