| NPI | 1275185712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0017646) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P18809) |
| 225100000X Physical Therapist (Licence: CA 299988) | |
| 225100000X Physical Therapist (Licence: AK 190976) | |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2025-07-24 |