| NPI | 1881342202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR CP010922T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0017832) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-15 |