| NPI | 1992307862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019320) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 10797) |
| Enumeration Date | 2020-11-14 |
| Last Update Date | 2023-08-11 |