| NPI | 1669016473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP005154T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014393) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2021-06-09 |