| NPI | 1780012989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-00781) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05001070A) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |