| NPI | 1700613767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0019563) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 229709) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-10-09 |