| NPI | 1699494021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2021033736) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-07174) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2025-02-28 |