| NPI | 1184872889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY 1096) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 6994) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-09-05 |