| NPI | 1730807371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020404) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 26367) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2025-02-26 |