| NPI | 1306464383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 17198) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 31325) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2022-09-06 |