| NPI | 1801587456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP045031T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT309885) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2026-04-03 |