| NPI | 1033407762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0015475) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 26641) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2021-05-25 |