| NPI | 1679949465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 13710) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: KS 11-05523) | |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2022-07-21 |