| NPI | 1376154328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06625) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1331849) |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-09-28 |