| NPI | 1508667957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: KS 11-08108) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1405428) |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2026-06-18 |