| NPI | 1053837591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-05471) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KS 11-05471) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2020-05-19 |