| NPI | 1710495015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 16946) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2017039901) |
| Enumeration Date | 2018-01-21 |
| Last Update Date | 2022-07-14 |