| NPI | 1932432747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03959) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KS KS1103959) |
| 225100000X Physical Therapist (Licence: MO 2009014372) | |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2022-10-13 |