| NPI | 1639892573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2023042975) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 4415) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2024-10-23 |