| NPI | 1518605898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019069) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WY PT-2171) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2024-08-26 |