| NPI | 1326204793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03836) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: KS 11-03836) |
| 2251S0007X Physical Therapist, Sports (Licence: KS 11-03836) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2018-08-28 |