| NPI | 1689703035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-01174) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2002008823) |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2007-07-08 |