| NPI | 1225682768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-07198) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IN 05013382A) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2024-11-01 |