| NPI | 1457965253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO CP003254T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 10502) |
| 225100000X Physical Therapist (Licence: FL 35975) | |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-09-01 |