| NPI | 1063125243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2023032460) |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2024-10-01 |