| NPI | 1215647300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2022023815) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA CP042805T) |
| 225100000X Physical Therapist (Licence: NE CP042804T) | |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2025-03-31 |