| NPI | 1770155624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020759) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: CO CP035348T) | |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2025-10-13 |