| NPI | 1194865881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0019041) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 01377) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2023-08-02 |