| NPI | 1619676301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 204419) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 204419) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2024-04-15 |