| NPI | 1245042720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2025005724) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-08004) |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-09-24 |