| NPI | 1902527120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0018697) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 16086) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-10-24 |