| NPI | 1750729802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0015410) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PTT28307) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2022-08-01 |