| NPI | 1366997462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007524) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2016027248) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2022-09-19 |