| NPI | 1740688126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 15504) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 29681) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2019-11-25 |