| NPI | 1629447156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0016300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 039376-1) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2020-05-28 |