| NPI | 1396508503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2024008810) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-12-31 |