| NPI | 1043941990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-07005) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2022-10-07 |