| NPI | 1841642352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0015175) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1306377) |
| 225100000X Physical Therapist (Licence: IL 070022311) | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2024-05-03 |