| NPI | 1588292056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06682) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1328024) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2021-03-05 |