| NPI | 1437373297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-00451) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO RO-751) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |