| NPI | 1992292577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2014029513) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 62674) |
| 225100000X Physical Therapist (Licence: ND 2067) | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |