| NPI | 1023728193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29980) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2022025925) |
| 225100000X Physical Therapist (Licence: CA 303381) | |
| 225100000X Physical Therapist (Licence: KS 11-07076) | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2024-06-12 |