| NPI | 1669157947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 022388) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0019151) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2024-01-08 |