| NPI | 1932474855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-01987) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 4431) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |