| NPI | 1164501557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 13485) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: KS 11-03400) | |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2021-03-22 |