| NPI | 1922675776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 20272) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1349187) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2025-01-14 |