| NPI | 1871935916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0015320) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1218051) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2020-08-02 |