| NPI | 1568603108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 103126) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-02395) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |