| NPI | 1063057842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 4183) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 01240) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |