| NPI | 1841186491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP046262T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SD 6162) |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-06-30 |