| NPI | 1871032821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 144398) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0014549) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2026-06-30 |