| NPI | 1982085437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-05064) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT43190) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2023-08-21 |