| NPI | 1881943777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3316) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS T-03413) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2014-05-29 |