| NPI | 1689561144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020680) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID 1971059) |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-09-04 |