| NPI | 1700732260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020353) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT44510) |
| Enumeration Date | 2026-03-07 |
| Last Update Date | 2026-03-10 |