| NPI | 1871667881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03237) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2004015712) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2015-03-19 |