| NPI | 1750087094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP051001T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 64818) |
| 225100000X Physical Therapist (Licence: WA CP022146T) | |
| 225100000X Physical Therapist (Licence: AZ LPT-32761) | |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2025-12-08 |