| NPI | 1689535841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD CP051194T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0020942) |
| 225100000X Physical Therapist (Licence: PA PT033880) | |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2025-12-02 |