| NPI | 1144899915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP025511T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT015255) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2024-03-22 |