| NPI | 1942884754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CPO37135T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT015222) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2024-11-19 |