| NPI | 1437642055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019242) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WY PT-1795) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2025-06-19 |