| NPI | 1821542663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 9283) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4853) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2024-07-22 |