| NPI | 1851998090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0020393) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 051239) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2025-02-19 |