| NPI | 1073611158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3310) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 3039) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-09-23 |