| NPI | 1730598574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1105273) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2014027152) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2019-12-02 |