| NPI | 1073539722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 3403) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 9029) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |