| NPI | 1881148898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2016027658) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2024-03-02 |