| NPI | 1144905381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019187) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0019187) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2024-11-04 |