| NPI | 1962037515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP001302T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1322412) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |