| NPI | 1700234549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 14160) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 24245) |
| 225100000X Physical Therapist (Licence: NC P16347) | |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2022-04-08 |