| NPI | 1871107540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019626) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 31416) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2024-04-11 |