| NPI | 1043312846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0015206) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 2700) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2017-12-06 |