| NPI | 1295376739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP-CP024275T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12520) |
| 225100000X Physical Therapist (Licence: MO CP000676T) | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2023-10-09 |