| NPI | 1144553454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0015716) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT5679) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2021-01-25 |