| NPI | 1699543181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0020327) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT41100) |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2025-01-13 |