| NPI | 1033597372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0013481) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTLP.0000009) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-08-04 |