| NPI | 1679786628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1103703) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1167892) |
| 225100000X Physical Therapist (Licence: MO 2007012005) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2013-11-19 |