| NPI | 1487951505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1104223) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2002002009) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |