| NPI | 1144086802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 65190) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0020391) |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2025-10-30 |