| NPI | 1255146312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2023016613) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-07379) |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |