| NPI | 1568914349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0016296) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10003607) |
| 225100000X Physical Therapist (Licence: MD 26271) | |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2024-06-03 |