| NPI | 1740835958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0020041) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 27498) |
| 225100000X Physical Therapist (Licence: NY 044922) | |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2024-10-16 |