| NPI | 1922443159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-05270) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 022610) |
| 225100000X Physical Therapist (Licence: NY 034830) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2023-03-07 |