| NPI | 1487286191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH9743) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0020164) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2025-11-25 |