| NPI | 1881209609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2020025767) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-06619) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2024-07-13 |