| NPI | 1730248345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03161) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2002011890) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-10-21 |