| NPI | 1013513902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018071) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-31538) |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2025-07-17 |