| NPI | 1992142657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0014247) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10307) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2024-11-15 |