| NPI | 1568248532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP033678T) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2024-09-10 |