| NPI | 1730989195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2014019099) |
| Additional Taxonomies | 2251C2600X (Licence: MO 2014019099) |
| Enumeration Date | 2025-03-15 |
| Last Update Date | 2025-03-15 |