| NPI | 1265295943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0020779) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2025-09-08 |