| NPI | 1366217754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP039918T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 29730) |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2025-02-03 |