| NPI | 1932191764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11 01638) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 01892) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2007-12-12 |