| NPI | 1487370342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-01585) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: KS 11-01585) |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-12 |