| NPI | 1174369995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008571) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2021019481) |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |