| NPI | 1457753600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04189) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2011017809) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2016-04-04 |