| NPI | 1447082755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020684) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2025-07-22 |