| NPI | 1922381102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2010039345) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-04231) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |