| NPI | 1669996112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 16354) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 296622) |
| 225100000X Physical Therapist (Licence: WV 004251) | |
| 225100000X Physical Therapist (Licence: MD 26579) | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2025-05-23 |