| NPI | 1598038077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04994) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501015100) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2019-06-27 |