| NPI | 1356458350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03172) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2003001813) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2023-07-18 |