| NPI | 1689215394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP014938T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT5599) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2022-09-06 |