| NPI | 1447809702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06455) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12589) |
| 225100000X Physical Therapist (Licence: AR 4677) | |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2020-09-16 |