| NPI | 1144746819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-05746) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO Pending) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |