| NPI | 1750639571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1104449) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3031) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |