| NPI | 1881704500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03337) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2003022486) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-02-20 |