| NPI | 1174760318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 9023) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 2973) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2024-12-31 |