| NPI | 1326696709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018011) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027911) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2022-12-27 |