| NPI | 1649983057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 6118) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 6117) |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2023-01-02 |