| NPI | 1821844549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 19904) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO CP027484T) |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-10-25 |