| NPI | 1194970731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 12625) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 35121) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2014-11-18 |