| NPI | 1033952197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020243) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ CP050081T) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2025-10-13 |