| NPI | 1154562403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020880) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2025-10-06 |