| NPI | 1033632450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2017025253) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-05682) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2018-10-04 |