| NPI | 1063236107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020670) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2025-06-25 |