| NPI | 1801546817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO CP038648T) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2025-10-10 |