| NPI | 1285083162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1105340) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: KS 1105340) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2023-12-07 |