| NPI | 1023500907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH CP001210T) |
| 225100000X Physical Therapist (Licence: CO PTL.0015088) | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2023-12-21 |