| NPI | 1295503423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-07561) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS T06066) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-02-15 |