| NPI | 1417661232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP038552T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 32779) |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2025-02-01 |