| NPI | 1538809744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO PTL.0020754) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 13442) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2026-04-30 |