| NPI | 1992838882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-02782) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2000152100) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |