| NPI | 1053172726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0016597) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL27485) |
| 225100000X Physical Therapist (Licence: PA PT032115) | |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-06-26 |