| NPI | 1124680400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2016027639) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-0676) |
| 225100000X Physical Therapist (Licence: FL PT32246) | |
| 225100000X Physical Therapist (Licence: IA 089050) | |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |