| NPI | 1548049703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0020557) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL26646) |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2025-06-23 |