| NPI | 1265000368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06732) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO PTL.0017690) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2023-07-20 |