| NPI | 1376071308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-05717) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: KS T-04729) |
| Enumeration Date | 2017-06-03 |
| Last Update Date | 2022-01-07 |