| NPI | 1447411657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 9149) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6870) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2026-07-23 |