| NPI | 1679201446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019254) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA PT030533) |
| 225100000X Physical Therapist (Licence: PA PT030533) | |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2024-06-12 |