| NPI | 1659912137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: CO PTL0017349) | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2024-10-03 |