| NPI | 1740315662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1104168) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2011002607) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-04-12 |