| NPI | 1215069398 |
|---|---|
| Former Name | SANDY JASPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03333) |
| Additional Taxonomies | 174400000X Specialist (Licence: KS 0333) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2024-01-19 |