| NPI | 1508567090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 18952) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 306577) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2026-01-19 |