| NPI | 1316222193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 8107) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1103757) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2019-09-06 |