| NPI | 1992137392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 4364) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-04670) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |