| NPI | 1225756943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 11347) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO CP050609T) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2025-11-04 |