| NPI | 1982299525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06932) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH10233) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2024-06-24 |