| NPI | 1710108154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: KS 11-03049) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2024-10-08 |