| NPI | 1568136562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0017878) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTLP.0000203) |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2021-11-02 |