| NPI | 1457114902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP056399T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT032024) |
| 225100000X Physical Therapist (Licence: OH CP048601T) | |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2026-05-19 |