| NPI | 1790457448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0020300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 047734) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2024-12-23 |