| NPI | 1053087528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2024035306) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 008359) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2025-02-26 |