| NPI | 1174797377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH11300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 4210) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2024-10-04 |