| NPI | 1477840627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04430) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2011020502) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2019-06-14 |