| NPI | 1699372664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0018659) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305216983) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2025-03-24 |