| NPI | 1194933523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 002071) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 2071) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-09-15 |