| NPI | 1023653821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0016926) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA pt297422) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2021-11-17 |