| NPI | 1710553763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020237) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT5882) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2025-03-04 |