| NPI | 1144003039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP038756T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-32567) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2025-12-26 |