| NPI | 1275499758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO ptl.0020777) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 44049) |
| Enumeration Date | 2025-12-29 |
| Last Update Date | 2025-12-29 |