| NPI | 1417660580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2023004339) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2022048992) |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-02-23 |