| NPI | 1154041473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020694) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 29146) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2025-07-15 |