| NPI | 1003269507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: KS 11-03619) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: KS 1103619) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2022-09-27 |