| NPI | 1336713841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 63993) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0017511) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-05-19 |