| NPI | 1972276962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06714) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2021029481) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2025-04-09 |