| NPI | 1225519614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO MSPTL.0000003) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1310483) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2025-03-19 |