| NPI | 1801501226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP055372T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 32805) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2026-05-07 |