| NPI | 1750874293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-14964) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-013464) |
| 225100000X Physical Therapist (Licence: CO PTL.0015403) | |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2018-06-10 |