| NPI | 1225542418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY PT-1843) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0015272) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2023-01-11 |