| NPI | 1427688696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 21178) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0016806) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2022-09-30 |