| NPI | 1689236713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0017151) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12244) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2020-09-29 |