| NPI | 1679131643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019065) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872445) |
| 225100000X Physical Therapist (Licence: NC PT872445) | |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2023-07-03 |