| NPI | 1396242517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-02802) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT013865L) |
| 225100000X Physical Therapist (Licence: TX 1144053) | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2019-01-10 |