| 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 |