| NPI | 1992459085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP032592T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 13680) |
| 225100000X Physical Therapist (Licence: TX CP027620T) | |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2024-08-23 |