| NPI | 1508473117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020867) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28125) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2025-11-07 |