NPI | 1205364460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06515) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2017020722) |
Enumeration Date | 2017-05-31 |
Last Update Date | 2020-07-22 |