| NPI | 1104427103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 18767) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 25278) |
| 225100000X Physical Therapist (Licence: IL 070026586) | |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2024-01-03 |