| NPI | 1427734193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2023033164) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2023024735) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2026-01-20 |