| NPI | 1447149042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0021445) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 28225) |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2026-07-31 |