| NPI | 1831713726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019413) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 15049-24) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2024-01-03 |