| NPI | 1922320480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0014650) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH5774) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2022-02-09 |