| NPI | 1942649280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04727) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: MO 2012023616) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2023-08-15 |