| NPI | 1588217855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018296) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT5469) |
| 225100000X Physical Therapist (Licence: OH PT017240) | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2022-07-12 |