| NPI | 1518487057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0014957) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0014957) |
| 2251S0007X Physical Therapist Sports (Licence: CO PTL.0014957) | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-12-20 |