| NPI | 1942608955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0016097) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41664) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2022-01-28 |