| NPI | 1720339054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0013169) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-3019) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2026-05-20 |