| NPI | 1730796707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO R0837) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: MO R0837) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |