| NPI | 1871706903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03590) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2006008319) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2018-08-28 |