| NPI | 1518962695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-00846) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251X0800X Physical Therapist, Orthopedic (Licence: KS 11-00846) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2017-12-12 |