| NPI | 1588192777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 2156) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: KS 11-05620) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2023-05-24 |