| NPI | 1205544988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2022029880) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 114555) |
| 225100000X Physical Therapist (Licence: KS 1106997) | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2024-03-27 |