| NPI | 1184873028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 10130) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0010130) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2019-07-02 |