| NPI | 1093461261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15706-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0018225) |
| Enumeration Date | 2022-02-26 |
| Last Update Date | 2023-02-20 |