| NPI | 1326335407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP044185T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05003853A) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2025-07-01 |