| NPI | 1548585235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: KS 11-05913) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT25390) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2019-08-13 |