| NPI | 1184029274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-05010) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 4846) |
| 225100000X Physical Therapist (Licence: KS 2015009400) | |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2015-07-31 |