| NPI | 1215418553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: KS 11-02672) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: MO 110295) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2021-04-08 |