| NPI | 1255452538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2001023442) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1101991) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2017-02-07 |