| NPI | 1841725165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0014534) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2018-06-13 |