| NPI | 1710196449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: KS 11-04520) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05008025A) |
| 2251X0800X Physical Therapist Orthopedic (Licence: TX 1176298) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2013-04-02 |