| NPI | 1346367737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2006032398) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03661) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2024-09-25 |