| NPI | 1447545256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-01151) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 01235) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |