| NPI | 1558397349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0008986) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8986) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2024-08-15 |