| NPI | 1801554472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018811) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT37964) |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2024-12-17 |