| NPI | 1104648153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP060418T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 16911) |
| 225100000X Physical Therapist (Licence: SC CP052843T) | |
| 225100000X Physical Therapist (Licence: CA 306699) | |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2026-08-03 |