| NPI | 1558534693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1102938) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 115364) |
| 225100000X Physical Therapist (Licence: IA 03699) | |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2016-05-13 |