| NPI | 1538390984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04891) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 35887) |
| 225100000X Physical Therapist (Licence: WA PT60342038) | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2014-09-10 |