| NPI | 1184298895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP007628T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT4864) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2021-09-16 |