| NPI | 1245386952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03593) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2006011478) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-09 |