| NPI | 1750666277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019142) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT25706) |
| Enumeration Date | 2011-10-16 |
| Last Update Date | 2024-08-21 |