| NPI | 1912155698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-13117) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0012996) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2021-04-30 |