| NPI | 1104432285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 0019030) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 13173) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2023-07-19 |