| NPI | 1821531153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2006038050) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1103776) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |