| NPI | 1609255124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-05145) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS T-04206) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2023-07-20 |