| NPI | 1154013795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP042448T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP030184T) |
| 225100000X Physical Therapist (Licence: TN 13793) | |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2025-03-17 |