| NPI | 1124233093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03609) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2007000482) |
| 225100000X Physical Therapist (Licence: NE 2447) | |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2007-07-08 |