| NPI | 1487037321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1105128) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2016021894) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2019-07-29 |