| NPI | 1154102622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019444) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 291902) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2025-05-22 |