| NPI | 1982805214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-02688) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2002014287) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |