| NPI | 1720655681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0017688) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID ID-7396) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2021-06-10 |