| NPI | 1528438751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06941) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 8711) |
| 225100000X Physical Therapist (Licence: CO PTL.0013660) | |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2022-04-13 |