| NPI | 1306684220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP050100T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 16763-24) |
| 225100000X Physical Therapist (Licence: MA PTL88897) | |
| 225100000X Physical Therapist (Licence: OR CP031820T) | |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2025-12-18 |