| NPI | 1417325903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0016814) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 42788) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2021-07-13 |