| NPI | 1609760974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020896) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTLP.0000400) |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-09-26 |