| NPI | 1831867845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0018204) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 300899) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2022-03-16 |