| NPI | 1306408273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1106179) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2019023327) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2020-10-21 |