| NPI | 1245924919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020185) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CT 14.014007) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2024-10-23 |