| NPI | 1306579990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2022027492) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-07026) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2023-04-17 |