| NPI | 1083140859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2017022200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-05675) |
| 225100000X Physical Therapist (Licence: AR PT4604) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2019-02-27 |