| NPI | 1356437438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 3886) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 3705) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2010-11-29 |