| NPI | 1366194276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP038533T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 008739) |
| 225100000X Physical Therapist (Licence: TX CP048444T) | |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2026-01-02 |