| NPI | 1144847393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 18691) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-31209) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2022-11-22 |