| NPI | 1770322265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP053914T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT004742) |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2026-04-01 |