| NPI | 1457845661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 17636) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23635) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2021-07-23 |