| NPI | 1225016181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03070) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 1999135031) |
| Enumeration Date | 2006-01-02 |
| Last Update Date | 2007-07-08 |