| NPI | 1396959698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 3632) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2003015695) |
| 225100000X Physical Therapist (Licence: KS 1103328) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |