| NPI | 1306151428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06853) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 37013) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2022-04-22 |