| NPI | 1659264042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0020597) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT42340) |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-10-10 |