| NPI | 1538847728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 20072) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 15246) |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2024-08-29 |