| NPI | 1669716742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04478) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 10219) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2014-10-09 |