| NPI | 1427654995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP048327T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT028597) |
| 225100000X Physical Therapist (Licence: NJ 40QA01973700) | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2025-08-20 |