| NPI | 1306545728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2023009822) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-07277) |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-07-21 |