| NPI | 1932234564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2013040529) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1104714) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2016-04-22 |