| NPI | 1386260248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 17746) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2020028542) |
| 225100000X Physical Therapist (Licence: KS 11-06416) | |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2021-07-06 |