| NPI | 1326357674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 03383) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 00520) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-11-08 |