| NPI | 1609493345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO MSPTL.0000011) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT028512) |
| 225100000X Physical Therapist (Licence: CO 11) | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2022-07-26 |