| NPI | 1548615370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06383) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1266828) |
| 225100000X Physical Therapist (Licence: MO 2010023557) | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2023-08-08 |