| NPI | 1568763761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP054621T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR CP043948T) |
| 225100000X Physical Therapist (Licence: TN 8766) | |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2026-04-07 |