| NPI | 1114071131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-01563) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 01965) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |