| NPI | 1467159913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP026235T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR CP018196T) |
| 225100000X Physical Therapist (Licence: UT 131904812401) | |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2024-03-26 |