| NPI | 1902255250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-05439) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043096) |
| 225100000X Physical Therapist (Licence: MO 2023027946) | |
| 225100000X Physical Therapist (Licence: CO PTL.0014036) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2023-10-26 |