| NPI | 1336483783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03058) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2001019979) |
| Enumeration Date | 2012-11-23 |
| Last Update Date | 2012-11-23 |