| NPI | 1326421306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0015064) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 9929) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2022-07-21 |