| NPI | 1821694019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0018991) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT029025) |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2023-11-27 |