| NPI | 1033967450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0021226) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT6789) |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2026-05-16 |