| NPI | 1932228384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2004003801) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03377) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-09-17 |