| NPI | 1487313441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 20543) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT030030) |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2025-06-12 |