| NPI | 1174044192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2017023470) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1105573) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2020-09-15 |