| NPI | 1669666012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4875) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1103671) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2011-02-28 |