| NPI | 1437916657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-07548) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2024014969) |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2026-01-06 |