| NPI | 1174358535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP059050T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ CP051526T) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2026-07-29 |