| NPI | 1427702521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 19412) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH10527) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2023-10-13 |