| NPI | 1649890575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018553) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2024-05-22 |