| NPI | 1578717906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03279) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2005036997) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |