| NPI | 1689609067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0007409) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 7409) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-02-15 |