| NPI | 1982211553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0017383) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.025374) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-12-12 |