| NPI | 1942525449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 10389) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501019764) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2020-12-18 |