| NPI | 1497836787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03922) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2003007571) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-02-24 |