NPI | 1518343441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-05444) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3499) |
Enumeration Date | 2015-08-03 |
Last Update Date | 2021-02-19 |