| NPI | 1457907891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0016483) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 4869) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2020-03-02 |