| NPI | 1457042822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 20661) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1380459) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2025-06-20 |