| NPI | 1376379776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO CP034766T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 4705) |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-10-04 |