| NPI | 1922587971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020099) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 30186) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2024-09-06 |