| NPI | 1821854316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP054865T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2633) |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2026-07-07 |