| NPI | 1417843996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-07916) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 65940) |
| 225100000X Physical Therapist (Licence: MO 2025034213) | |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-12-02 |