| NPI | 1770005019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-05796) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2022-05-17 |