| NPI | 1023748134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 4335) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO CP015274T) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-10-07 |