| NPI | 1932887791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PLT.0019516) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT031311) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2024-01-02 |