| NPI | 1487437042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 050885) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 20816) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2026-06-11 |