| NPI | 1871364463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020454) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT032013) |
| 225100000X Physical Therapist (Licence: VA 2305216761) | |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2025-04-02 |