NPI | 1114205226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04131) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2010042345) |
Enumeration Date | 2011-07-25 |
Last Update Date | 2022-04-01 |