| NPI | 1508609009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06330) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1309921) |
| 225100000X Physical Therapist (Licence: MO 2019046618) | |
| 225100000X Physical Therapist (Licence: CA 306039) | |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-13 |