| NPI | 1487337366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020482) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 008883) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2025-03-28 |