| NPI | 1548032667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO CP025645T) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2024-03-20 |