| NPI | 1366318123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 009348) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO CP049122T) |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-19 |