| NPI | 1700263837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: KS 11-03166) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: MO 2002006958) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-06-23 |