| NPI | 1861423881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04063) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 01049) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2018-02-15 |