| NPI | 1124161575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06224) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2019026487) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2022-02-21 |