| NPI | 1538594627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0012387) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10495) |
| Enumeration Date | 2013-09-07 |
| Last Update Date | 2023-10-04 |