| NPI | 1487708434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-02692) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: CA 29028) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2012-07-09 |