| NPI | 1487881082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04042) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2009014131) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2024-08-28 |