| NPI | 1780472282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 21117) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 14470) |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2026-02-23 |