| NPI | 1629760871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP026134T) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: WA PT61458004) | |
| 225100000X Physical Therapist (Licence: CO 19580) | |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2024-01-10 |