| NPI | 1518169176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-02728) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 118035) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2016-11-29 |