| NPI | 1134715287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: CO CP044244T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28165) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2025-05-14 |