| NPI | 1851732663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04759) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1224870) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2021-12-06 |