| NPI | 1295735074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03406) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2004024413) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2019-11-22 |