| NPI | 1497336374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 19820) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2021044741) |
| 225100000X Physical Therapist (Licence: KS 11-06753) | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2024-05-24 |