| NPI | 1912050410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2004029093) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 70014477) |
| 225100000X Physical Therapist (Licence: KS 11-03697) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-10-22 |