| NPI | 1609353879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 19821) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 20991) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2024-05-14 |