| NPI | 1447556477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2454) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03907) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |