| NPI | 1588437941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ CP048409T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0019463) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2025-09-16 |