| NPI | 1659832905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO CP050316T) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2025-11-17 |