| NPI | 1376992701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0014311) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: NE 3708) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2023-06-05 |