| NPI | 1386079754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-07220) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10450) |
| 225100000X Physical Therapist (Licence: CO PTL.0016470) | |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2023-07-13 |