| NPI | 1386133031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2018022432) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-05854) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2022-02-23 |