| NPI | 1265903041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 20105) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT0022166) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2024-08-29 |