| NPI | 1417287335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-05787) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 10546) |
| 225100000X Physical Therapist (Licence: UT 8656611-2401) | |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2022-08-24 |