| NPI | 1134448921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2010028171) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-04212) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2018-05-08 |