| NPI | 1023478674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0016194) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 61542) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2019-03-06 |