| NPI | 1912269952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1635) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2010033063) |
| 225100000X Physical Therapist (Licence: CO 10891) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2022-11-08 |