| NPI | 1316487283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 18382) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22871) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2022-07-20 |