| NPI | 1528865524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP051795T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1398778) |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2026-03-02 |