| NPI | 1801299276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020508) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 91661) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2025-04-22 |