| NPI | 1700531076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018205) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-07-19 |