| NPI | 1497249981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0016931) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WY 1800) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2025-09-10 |