| NPI | 1699610550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-32762) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO CP051352T) |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-04-20 |