| NPI | 1831936681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0020200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 052468) |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-12-31 |