| NPI | 1730967449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP038680T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1377493) |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2025-05-05 |