| NPI | 1356079024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018601) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-09-22 |