| NPI | 1487002531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2016021905) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0013950) |
| 225100000X Physical Therapist (Licence: KS 11-05432) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2021-11-09 |