| NPI | 1306683875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2024005769) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ cp031234t) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-10-15 |