| NPI | 1346497534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: KS 1105159) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2008024821) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2019-12-27 |