| NPI | 1629823653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP046440T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05015278A) |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2025-07-13 |