| NPI | 1194458703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP038715T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 29136) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2025-08-12 |