| NPI | 1184423774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 21360) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT-2025-0076) |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2026-06-29 |