| NPI | 1972688976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-01762) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1127751) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2023-04-19 |