| NPI | 1629732458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0020009) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1351584) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2025-07-28 |