| NPI | 1437166287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1102764) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2000162373) |
| 225100000X Physical Therapist (Licence: CO PTL0003753) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2016-05-03 |