| NPI | 1952728560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0016021) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-3418) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2022-10-25 |