| NPI | 1194056077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018301) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0018301) |
| 225100000X Physical Therapist (Licence: CT 007104) | |
| Enumeration Date | 2010-01-17 |
| Last Update Date | 2023-02-01 |