| NPI | 1245212406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03545) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2005036216) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2015-08-20 |