| NPI | 1750855375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0016173) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-08-09 |