| NPI | 1538545199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0017062) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209748) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2020-12-15 |