| NPI | 1205393634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0017331) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 027510) |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2022-06-06 |