| NPI | 1154181915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 8152) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WY 2365) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |