| NPI | 1851409502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2013006726) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 002053) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2024-03-21 |