| NPI | 1124072954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 9332) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 5545) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-03-26 |