| NPI | 1457925828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 18966) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1345944) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2026-01-27 |