| NPI | 1710484563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0007938) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PT0007938) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |