| NPI | 1750874327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-05915) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: KS 11-05915) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: KS 11-05915) | |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2023-11-27 |