| NPI | 1124795604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP030297T) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: AR PT-5036) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2024-09-15 |