| NPI | 1083854145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0007036) |
| Additional Taxonomies | 251E00000X Home Health (Licence: CO 7036) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2020-08-27 |