| NPI | 1295592160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-07760) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY CP028038T) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-12-23 |