| NPI | 1083052997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06178) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3200) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2019-06-13 |