| NPI | 1548628613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO CP014895T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN CP024141T) |
| 225100000X Physical Therapist (Licence: NC P16108) | |
| 225100000X Physical Therapist (Licence: MD 28728) | |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2023-09-28 |