| NPI | 1356895312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018284) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1279659) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2026-04-20 |