| NPI | 1013312362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-02793) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 14-02793) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2025-07-31 |