| NPI | 1578602462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0019045) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1160170) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-06-15 |