| NPI | 1275043606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-01670) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 4460) |
| 225100000X Physical Therapist (Licence: OK 3961) | |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |