| NPI | 1689765588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04531) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2010017119) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2014-01-20 |