| NPI | 1689441032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0020537) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 304806) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2025-05-12 |